Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › VT › RUTLAND › TACONIC DENTAL ARTS PC

TACONIC DENTAL ARTS PC

NPI: 1417408717 · RUTLAND, VT 05701 · General Practice Dentistry · NPI assigned 10/21/2016

$87K
Total Medicaid Paid
2,913
Total Claims
2,813
Beneficiaries
7
Codes Billed
2018-01
First Month
2021-05
Last Month

Provider Details

Authorized OfficialCARMACK, TYLER (OWNER)
NPI Enumeration Date10/21/2016

Related Entities

Other providers sharing the same authorized official: CARMACK, TYLER

ProviderCityStateTotal Paid
SHAFTSBURY DENTAL CENTER PC SHAFTSBURY VT $336K
BENNINGTON DENTAL CENTER PC BENNINGTON VT $81K
STRATTON DENTAL ARTS RUTLAND VT $14K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,159 $36K
2019 958 $29K
2020 593 $16K
2021 203 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 788 775 $36K
D1206 Topical application of fluoride varnish 1,026 991 $17K
D0120 Periodic oral evaluation - established patient 496 488 $12K
D1120 Prophylaxis - child 248 237 $8K
D0274 Bitewings - four radiographic images 270 263 $8K
D2391 Resin-based composite - one surface, posterior, primary or permanent 65 44 $5K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 20 15 $3K